Healthcare workers’ structured daily reflection on patient safety, workload and work environment in intensive care. A descriptive retrospective study

Larsson, Ing-Marie; Aronsson, Anna; Norén, Karin; Wallin, Ewa

doi:10.1016/j.iccn.2021.103122

Cited by 11 publications

(9 citation statements)

References 25 publications

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“…A cognitive overload for individuals working in the healthcare domain can impact their performance and cause serious, life-threatening accidents, especially in surgical environments. For such reasons, researchers have focused on detecting and assessing the MWLs of healthcare workers through various measures [ 8 , 9 , 10 ]. Similarly, the effect of multiple task handling on performance, as reflected by MWL, has also been studied in air traffic controllers [ 11 ], electric overhead traveling crane operators [ 12 ], and human system interface operators in nuclear power plants [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of In-Vehicle Physiological Indices and Sensor Technology for Driver Mental Workload Monitoring

Sriranga

Birrell

2023

Sensors

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The concept of vehicle automation ceases to seem futuristic with the current advancement of the automotive industry. With the introduction of conditional automated vehicles, drivers are no longer expected to focus only on driving activities but are still required to stay alert to resume control. However, fluctuations in driving demands are known to alter the driver’s mental workload (MWL), which might affect the driver’s vehicle take-over capabilities. Driver mental workload can be specified as the driver’s capacity for information processing for task performance. This paper summarizes the literature that relates to analysing driver mental workload through various in-vehicle physiological sensors focusing on cardiovascular and respiratory measures. The review highlights the type of study, hardware, method of analysis, test variable, and results of studies that have used physiological indices for MWL analysis in the automotive context.

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Section: Introductionmentioning

confidence: 99%

A Systematic Review of In-Vehicle Physiological Indices and Sensor Technology for Driver Mental Workload Monitoring

Sriranga

Birrell

2023

Sensors

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“…CCNs described a rapid acceleration in levels of responsibility. Larsson et al (2022) highlighted the need for daily reflection on patient safety, workload, and work environment in the ICU, something that seemed to be lacking during the pandemic, according to the CCNs in our study. During the pandemic, the primary role of CCNs changed to one where many more patients would be monitored and where staff, sometimes with unclear skills, would be monitored and supervised.…”

Section: Discussionmentioning

confidence: 83%

Institutional Constraints as an Obstacle for Prioritizing Nursing Interventions During the COVID-19 Pandemic—Critical Care Nurses’ Experiences

et al. 2022

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Introduction The demands of the pandemic such as staff shortages and limited resources combined with new guidelines regarding infection control may have required the prioritizing of nursing interventions. Objectives The aim of this study was to describe critical care nurses’ experiences of prioritizing nursing interventions for patients with COVID-19 in intensive care units (ICUs) during the pandemic. Method A qualitative descriptive study was gathered from open-ended questions included in a cross-sectional online questionnaire. Characteristics were presented using descriptive statistics, and open-ended questions were analyzed using qualitative content analysis with an inductive approach. The study was conducted in Sweden and focused on critical care nurses working in ICUs during spring 2021 and the second year of the COVID-19 pandemic. Results During the COVID-19 pandemic, 87% of the critical care nurses had provided orientations for new co-workers, and 52% had supervised intensive care nursing students. In all, 70 answered the question of whether they had prioritized nursing care differently during the pandemic; 86% reported that they had and 14% had not. The qualitative analysis resulted in one theme, Institutional constraints as an obstacle for nursing interventions, with three categories: Prioritizing lifesaving interventions, Performing nursing interventions less frequently, and Not able to provide the nursing care I wish to provide. Conclusion Institutional constraints as an obstacle for nursing interventions is the overall theme. It illustrates how critical care nurses have been forced to prioritize, thereby not being able to provide the nursing interventions they wanted to do provide, and it describes their feelings in this situation. The nurses need recovery and possibilities for reflection. The organization must also recover and not only return to how it was before the pandemic but also to learn from recent events and take actions to reduce the long-term effects on staffing.

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“…Health care personnel can use daily reflection to identify practices that affect patient safety. 37 Nursing professional development practitioners (NPDPs) can include information on reflection and the processes for managing health care errors during clinician onboarding activities. The NPDP can emphasize providing and receiving constructive feedback as a routine practice to encourage open dialogue.…”

Section: Encouraging Reflectionmentioning

confidence: 99%

“…Clinicians can use reflection to evaluate patient care processes, determine what went well or poorly, and create opportunities for improvement. 37 Objective reflection supports personal and professional growth and allows individuals to consider how their own practice contributes to a safety culture.…”

Section: Encouraging Reflectionmentioning

confidence: 99%

Creating a Just Culture in the Perioperative Setting

Hooven,

Altmiller

2024

AORN Journal

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There has been an increased perioperative focus on avoiding adverse events and providing safe patient care since To Err Is Human: Building a Safer Health System published in 2000. Adverse events continue to occur in perioperative areas and are likely underreported. The interdisciplinary nature and high cost of perioperative care may discourage personnel from speaking up for fear of retribution and punishment when reporting. Organization leaders can implement a just culture that focuses on improving patient care processes and safety rather than placing blame after an adverse event. A tenet of just culture is achieving balanced accountability between systems and individuals. Strategies for just culture implementation include leader support, policies and procedures for reporting, accessibility of reporting systems, provision of information for staff members, identification of support champions, and creation of a good catch program. Leaders also should measure and track progress associated with the just culture in their facility.

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Healthcare workers’ structured daily reflection on patient safety, workload and work environment in intensive care. A descriptive retrospective study

Cited by 11 publications

References 25 publications

A Systematic Review of In-Vehicle Physiological Indices and Sensor Technology for Driver Mental Workload Monitoring

A Systematic Review of In-Vehicle Physiological Indices and Sensor Technology for Driver Mental Workload Monitoring

Institutional Constraints as an Obstacle for Prioritizing Nursing Interventions During the COVID-19 Pandemic—Critical Care Nurses’ Experiences

Creating a Just Culture in the Perioperative Setting

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